Acute pancreatitis ap is an inflammatory disease caused by the activation, interstitial liberation and autodigestion of pancreatic tissue by its own enzymes. Acute pancreatitis ap in children is usually caused by viral infections, trauma, or medication. The morphologic features of the pancreatic head seen at ct or mri in the 24 cases of proven annular pancreas study group were compared with those in the 30 cases of no evidence of annular pancreas or pancreatitis at ercp control group. Obstruccion duodenal en pacientes pediatricos medigraphic. An annular pancreas was diagnosed at the 3rd day of life. Estenosis duodenal, obstruccion intestinal, pancreas anular. We present the case of newborn female patient, product of pregnancy one the obstetric ultra. If you continue browsing the site, you agree to the use of cookies on this website. It occurs in 1 in 6,000 to 7,500 live births and is usually associated in 30% of cases to trisomy 21. The results of the authors showed that both gastrointestinal bypass and division of the pancreas are effective and safe treatments. The etiologies of ap in children are trauma, infections, toxics, biliary tract obstruction, genetic, metabolic, systemic disease and idiopathics. Diagnosis must be confirmed with pancreatic enzyme determination and an imaging study such as abdominal tomography or magnetic resonance.
Abstract duodenal intestinal obstruction is frequent in newborn as a cause of occlusion, it can be complete duodenal atresia, secondary to a disorder of revacuolization of the intestinal lumen, or due to an irregular rotation of pancreas towards theright of duodenum. Abstract duodenal atresia is the most common type of congenital obstruction of the small intestine. Four patients with annular pancreas were treated at our. Other such annular pancreas, ectopic pancreas and agenesis of the dorsal pancreas are less present in the population. Annular pancreas is a rare condition in which the second part of the duodenum is surrounded by a ring of pancreatic tissue continuous with the head of the pancreas. Outcome was considered excellent or good in 17 of 20 patients with duodenal webs, 4 of 7 with annular pancreata. The annular pancreas is one of the most frequent congenital malformations that occur during the development of the intestine causing a partial or complete obstruction of. The annular pancreas is one of the most frequent congenital malformations that.
Annular pancreas in the adult is a rare anatomic anomaly which is detected by symptoms based on chronic partial obstruction of the duodenum. We report a case of prenatal sonographic diagnosis of duodenal obstruction, observed on the 32nd gestational week. The ambiguity arises from the fact that not all cases are. Annular pancreas as a cause of acute neonatal duodenal obstruction daniel m. The pancreas annular association and vacterl, has not been reported. Congenital variants of the pancreas, pancreas divisum, annular pancreas, ectopic pancreas.
We report a case of prenatal sonographic diagnosis of duodenal. Pdf obstruccion duodenal por pancreas anular researchgate. Pancreatitis is clinically defined as a sudden onset of abdominal pain associated with increased digestive en zymes in the blood and urine. No pancreatic fistulas occurred in patients who had division of an annular pancreas. A wide spectrum of clinical features is described in jacobsen syndrome, with phenotypekaryotype correlation. This condition is important to recognize, as radiologists are frequently the first to make the diagnosis. This portion of the pancreas can constrict the duodenum and block or impair the flow of food to the rest of the intestines. Congenital anomalies of the pancreas are relatively rare diseases, the most frequent being the pancreas divisum. Annular pancreas is a rare developmental anomaly, representing 1% of the neonatal intestinal obstructions. The annular pancreas is a rare congenital anomaly characterized by a complete or partial ring of pancreatic tissue surrounding the second part of the duodenum.
Annular pancreas was found during surgery to correct the duodenal atresia. Of the population studied, 70% presented symptoms at the time of diagnosis for congenital variant of the pancreas, and computer assisted tomography of the abdomen was the principal diagnostic method used. It is caused by pancreatic selfdigestion of pancreatic secretions. Duodenal obstruction due to annular pancreas during the neonatal period. The rare condition of anular pancreas does not allow a more detailed and comparative study. The annular pancreas is one of the most frequent congenital malformations that occur during the development of the intestine causing a partial or complete obstruction of the second portion of the duodenum. Annular pancreas as a cause of acute neonatal duodenal.
Annular pancreas is a morphological anomaly which can cause duodenal obstruction. The finding of pancreatic tissue extending in a posterolateral direction to the duodenum had a sensitivity and specificity for annular pancreas of 92% and 100%. This is the first report of duodenal atresia and annular pancreas. It is estimated to occur in 1 out of 12,000 to 15,000 newborns. The prenatal ultrasonographic diagnosis consists of the abdominal finding of a double bubble image. Annular pancreas a case report abstract introduction. Immediate treatment is aimed at support, maintaining an appropriate hydration state and metabolic balance in addition to avoiding pancreatic stimulation through fasting and gastric decompression.